Background Elderly patients receiving nasal feeding have weaker physiological function and placement of a nasogastric tube destroys the natural barrier of the cardia-esophageal sphincter. Pepsin in saliva may reflect gastroesophageal reflux disease (GERD). This study investigated pepsin levels in saliva of elderly patients with nasal feeding and analyzed the relevant factors. Methods This was a cross-sectional study. Patients admitted to the Chinese PLA General Hospital from April 2018 to October 2018 who received nasal feeding were included. One ml of saliva was collected from each patient during fasting in the morning and 1 hour after lunch for 3 consecutive days. Pepsin was quantified by enzyme-linked immunosorbent assay (ELISA). The patients were divided into two groups (≥7.75 ug/ml or <7.75 ug/ml) based on the median pepsin. Baseline and clinical factors were compared. ResultsThe mean age of the patients was 91.09±4.91 years. There were statistical differences in diabetes and feeding methods between the two groups. There was a positive correlation between the morning and postprandial pepsin levels (r=0.442, P <0.001). Multivariate analysis showed that the risk factors for higher pepsin levels were diabetes (odds ratio (OR): 2.67; 95%CI: 1.225-5.819, P =0.013) and nasal feeding methods (OR: 2.475; 95%CI: 1.183-5.180, P =0.016). Conclusions For patients undergoing nasal feeding who are older than 80 years, the fasting and 1-hour postprandial pepsin concentration was consistent. Diabetes and feeding methods are risk factors for high pepsin levels, which may indicate GERD.
Cnaphalocrocis medinalis Guenée (Lepidoptera: Pyralidae) is a notorious pest of rice, Oryza sativa L.(Poaceae). Sex pheromone and host-plant volatiles can trap C. medinalis separately. To improve the trap efficiency of sex pheromone, we first tested the synergistic effect of 8 host-plant volatiles, including 2-Phenylethanol, 1-Hexanol, 1-Heptanol, (Z)-3-Hexenal, (E)-2-Hexenal, Octanal, Valeraldehyde, and Methyl Salicylate on the attraction of C. medinalis to the female-produced sex pheromone in electroantennography. The addition of (E)-2-Hexenal, Methyl Salicylate, Valeraldehyde, and (Z)-3-Hexenal increased electroantennogram response of C. medinalis to sex pheromone. Further testing of the mixtures of these four compounds and sex pheromone in wind tunnel experiments indicated that additive (E)-2-Hexenal or Methyl Salicylate stimulated the landing behaviors of both male and female C. medinalis compared with sex pheromone alone. Field evaluations showed that mixtures of sex pheromone and (E)-2-Hexenal or Methyl Salicylate resulted in significantly higher catches to male moths than sex pheromone alone. Using 1:1 and 1:10 combinations of the sex pheromone and (E)-2-Hexenal, showed a synergistic effect of 95% and 110%, respectively. Furthermore, 1:1 and 1:10 mixtures of the sex pheromone and Methyl Salicylate exhibited a synergistic effect of 69% and 146%, respectively. These results may provide the basis for developing efficient pest management strategies against C. medinalis using host-plant volatiles and insect sex pheromones.
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